Open AccessLong-Term Result of Tibioperoneal Trunk Bypass with an Autogenous Graft Using the Varicose Great Saphenous Vein for Acute Limb Ischemia
Author(s) -
Hyung-Kee Kim,
Deokbi Hwang,
Seung Huh
Publication year - 2020
Publication title -
vascular specialist international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.316
H-Index - 3
eISSN - 2288-7989
pISSN - 2288-7970
DOI - 10.5758/vsi.200033
Subject(s) - medicine , surgery , great saphenous vein , varicose veins , trunk , revascularization , long saphenous vein , vein , ischemia , limb ischemia , cardiology , ecology , myocardial infarction , biology
For the management of acute limb ischemia (ALI) and multilevel arterial occlusive disease, tibial bypass using the saphenous vein has been considered a mainstay due to the long-term durability in selected patients with acceptable saphenous veins and comorbid conditions. Traditionally, bypass using a varicose autogenous graft has been contraindicated due to the risk of late aneurysmal dilation and rupture. Here, we describe a patient who presented with ALI and received tibioperoneal trunk bypass using a varicose autogenous graft. The patient has been doing well during the 72-month follow-up without recurrent symptoms or revision. The follow-up images showed a favorably patent graft with mild aneurysmal changes at the valve cusp adjacent to the knee. If there are no other appropriate autologous veins for revascularization, a varicose autogenous vein graft may be a useful option for limb salvaging in selected patients with multilevel arterial occlusive diseases.